Reverse dorsal digital and intercommissural flaps used for digital reconstruction
Reverse dorsal digital and intercommissural flaps used for digital reconstruction
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DOI：
10.1016/j.bjps.2003.10.010
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发表时间：
2004-01-01
期刊：
影响因子：
--
通讯作者：
Ioannovich, J
中科院分区：
文献类型：
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作者：
Keramidas, E;Rodopoulou, S;Ioannovich, J
反向背指和互交。皮瓣提供了一个简单和通用的选择皮肤覆盖远端指缺陷，特别是当其他局部皮瓣不可用。在门诊的基础上，使用了21个反向背侧数字皮瓣来覆盖PIP关节以上或以上的背侧软组织缺损。所有的襟翼都被调换成反向岛状襟翼。缺陷的平均大小为2.5 cm(2)，它们都用于覆盖暴露的肌腱，骨，关节或组合。20个皮瓣完全存活，没有出现任何循环困难的特征。1个皮瓣边缘坏死，2例患者6个月后主诉手指肿胀。无发病报告，患者保持良好的活动范围。其他各种类型的皮瓣被用来重建远端。我们回顾并比较了指背皮瓣和掌骨皮瓣的皮肤缺损。(C) 2003年英国整形外科医师协会。Elsevier Ltd.出版。版权所有。
Reverse dorsal digital and intercommissural. flaps offer a simple and versatile option for skin cover of distal finger defects, especially when other local flaps are not available. Twenty-one reverse dorsal digital flaps were used, on an outpatient basis, to cover dorsal soft tissue defects over or beyond the PIP joint. All the flaps were transposed as reverse island flaps. The average size of the defects was 2.5 cm(2) and they were all used to cover exposed tendon, bone, joint or a combination. Twenty flaps survived completely and did not present any feature of circulatory difficulty. Marginal, necrosis of one flap was noticed, while two patients complained of swollen finger 6 months later. No morbidity was reported and the patients maintained good range of motion. Various other types of flaps that have been used to reconstruct distal. digital skin defects are reviewed and compared with the reverse dorsal digital and metacarpal flaps. (C) 2003 The British Association of Plastic Surgeons. Published by Elsevier Ltd. All rights reserved.